DR. MICHAEL B PRUDHOMME


Address: Group Aid Station Mcas Yuma, Yuma, AZ 85369
Phone: 9282695657

DR. MICHAEL B PRUDHOMME (NPI# 1942365549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942365549
Entity Type Individual
Full Name DR. MICHAEL B PRUDHOMME
Credential MD
Practice Address Group Aid Station Mcas Yuma
Yuma
AZ 85369
Practice Telephone 9282695657
Mailing Telephone 9282695657
Enumeration Date 2006-12-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 36179 AZ Allopathic & Osteopathic Physicians

Other Providers MICHAEL PRUDHOMME

NPI Name Taxonomy Address Enumeration
1275584732 Michael Thomas Prudhomme Dentist 5760 Clarkston Rd., Suite A, Clarkston, MI 48348-4706 2006-05-12
1548564255 Michael Thomas Prudhomme Physical Therapist 13638 Sibley Rd, Riverview, MI 48193-7406 2011-01-10

Office Location

Street Address GROUP AID STATION MCAS YUMA
City YUMA
State AZ
Zip Code 85369

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770024986 Aaron Craig Andrew Hassad Military Health Care Provider 2989 East Arow Street, Yuma, AZ 85369 2017-03-20
1942697685 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Marine Corps Air Station, Bldg 1175, Yuma, AZ 85369 2015-04-21
1679869119 Stephen Spencer Austad General Practice Group Aid Station, Mcas Yuma, Yuma, AZ 85369 2011-06-23
1427222736 Christopher Michael Davis Family Medicine 2917 East Hart Street, Marine Corps Air Station, Yuma, AZ 85369 2008-04-17
1508069527 Naval Hospital Camp Pendleton Clinic/Center Bldg 1175, Yuma, AZ 85369 2007-06-07
1427148758 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Bhc Marine Corp Air Station, Bldg 1175, Yuma, AZ 85369 2006-10-16
1073515417 Scott Charles Haney Dentist 1175 Hart St., Mcas Yuma Branch Dental Clinic, Yuma, AZ 85369 2005-08-15
1942202924 Todd Lauby Optometrist Branch Medical Clinic Mcas Yuma, Bldg 1175, Yuma, AZ 85369 2005-08-10
1518323260 Keith Roxo Preventive Medicine 406 Halstead Ave, Yuma, AZ 85369 2016-01-11
1699162339 Naval Hospital Camp Pendleton Military/U.S. Coast Guard Pharmacy Bhc Marine Corp Air Station, Bldg 1175, Yuma, AZ 85369 2015-04-21
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700327541 Greg Almon Rogers General Practice Mag 13, Yuma, AZ 85369-9180 2017-03-13
1578901385 Robert Field General Practice Mawts-1 Medical, Mcas, Box 99117, Yuma, AZ 85365 2013-06-13
1679869119 Stephen Spencer Austad General Practice Group Aid Station, Mcas Yuma, Yuma, AZ 85369 2011-06-23
1922248129 Donald Richard Schilke General Practice 4101 W 15th St, Yuma, AZ 85364-4066 2009-02-27
1740297175 Stephen Replogle General Practice 11871 S Fortuna Rd, Yuma, AZ 85367-7686 2006-08-01
1144476821 Darrell Leroy Scheetz General Practice 1025 W 24th St, Suite 18, Yuma, AZ 85364-8366 2008-08-13
1063433720 Sunset Community Health Center Inc General Practice 2060 W 24th St, Yuma, AZ 85364-6123 2006-07-21

Providers in the same taxonomy and state

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1609475714 Tri-medical Family Care, LLC General Practice 855 E Warner Rd Ste 100, Chandler, AZ 85225-0998 2020-10-20
1699374702 Valley Spinal Care Pain Relief, LLC General Practice 15425 N Greenway Hayden Loop Ste A200, Scottsdale, AZ 85260-1239 2020-10-20
1225645625 Olympus Health Management LLC General Practice 3813 E Oasis Cir, Mesa, AZ 85215-9796 2020-09-29
1952917205 Physical Medicine of Mesa LLC General Practice 3614 E Southern Ave Ste 105, Mesa, AZ 85206-2510 2020-09-22
1346867488 Infinity Pain Relief, LLC General Practice 8715 W Union Hills Dr Ste 109, Peoria, AZ 85382-3031 2020-07-05
1417570664 Compass Medical Center Heber, Pllc General Practice 2931 Highway 260, Overgaard, AZ 85933 2020-05-22
1700408689 Cottonwood Physician Group General Practice 1760 E Villa Dr Ste E&f, Cottonwood, AZ 86326-4679 2020-05-13
1457973406 Pima County Physician Group General Practice 5155 E Farness Dr Ste 111b, Tucson, AZ 85712-2158 2020-05-13
1124649637 Peoria Physician Group General Practice 13760 N 93rd Ave Ste 105, Peoria, AZ 85381-4260 2020-05-06
1366080475 Madison Taylor Phillips General Practice 15741 Bering St, Ehrenberg, AZ 85334-0010 2019-12-19
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Competitor

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City YUMA
Zip Code 85369

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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